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  3. Diagnosis Codes in MS-DRG 292 - HEART FAILURE AND SHOCK WITH CC

Diagnosis Codes in MS-DRG 292 - HEART FAILURE AND SHOCK WITH CC

The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for Diagnosis Codes in MS-DRG 292 - HEART FAILURE AND SHOCK WITH Complication Comorbidity diseases in version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG MS-DRG Title MCD Relative Weight Geometric LOS Arithmetic LOS
292 HEART FAILURE AND SHOCK WITH CC 05 0.8565 Relative Weight
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.		 0.86 Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.		 3.00 Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

List of ICD-10-CM Codes in Diagnostic Related Group


  • I09.8
    • I09.81 Rheumatic heart failure
  • I11
    • I11.0 Hypertensive heart disease with heart failure
  • I13
    • I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
  • I50
    • I50.1 Left ventricular failure, unspecified
    • I50.9 Heart failure, unspecified
  • I50.2
    • I50.20 Unspecified systolic (congestive) heart failure
    • I50.21 Acute systolic (congestive) heart failure
    • I50.22 Chronic systolic (congestive) heart failure
    • I50.23 Acute on chronic systolic (congestive) heart failure
  • I50.3
    • I50.30 Unspecified diastolic (congestive) heart failure
    • I50.31 Acute diastolic (congestive) heart failure
    • I50.32 Chronic diastolic (congestive) heart failure
    • I50.33 Acute on chronic diastolic (congestive) heart failure
  • I50.4
    • I50.40 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
    • I50.41 Acute combined systolic (congestive) and diastolic (congestive) heart failure
    • I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure
    • I50.43 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
  • I50.81
    • I50.810 Right heart failure, unspecified
    • I50.811 Acute right heart failure
    • I50.812 Chronic right heart failure
    • I50.813 Acute on chronic right heart failure
    • I50.814 Right heart failure due to left heart failure
  • I50.8
    • I50.82 Biventricular heart failure
    • I50.83 High output heart failure
    • I50.84 End stage heart failure
    • I50.89 Other heart failure
  • R57